The Journal of Faculty of Nursing Burapha University

Factors Predicting Sedentary Behaviors among School Age Children

Narawin Siripongwattana — 2025-09-30

This study aimed to identify factors predicting sedentary behaviors in school-aged children. The sample consisted of 183 primary school students in grades 4-6 from Ban Bueng district, Chon Buri province, selected through multistage random sampling. Research instruments included questionnaires on demographic information, attitudes toward sedentary behavior, access to playgrounds and sports equipment in schools and communities, social support, and sedentary behaviors. Data were collected from June to July 2023 and analyzed using descriptive statistics and stepwise multiple regression.

Results showed that sedentary behaviors on weekdays (Monday-Friday) were at a low level (M = 3.57, SD = 1.242) and at a moderate level on weekends (M = 3.70, SD = 1.362). The significant predictor of sedentary behaviors was attitude toward sedentary behavior (b = .179), explaining 3.2% of the variance (R² = .032, p < .05).

The findings suggest that community nurse practitioners and healthcare providers should develop interventions to reduce sedentary behaviors among school-aged children by focusing on attitude modification.

Fear of Falling and Correlated-Factors in Community-Dwelling Older Adults in the Eastern Thailand

Wanida Noimontree — 2025-09-30

Older adults with fear of falling and activity restriction are at high risk for future falls and disability. This cross-sectional study aims to examine the prevalence and correlates of fear of falling among Thai older adults. We used multi-stage sampling to recruit 175 older adults from six areas across eastern Thailand. Questionnaires were used to collect participants’ characteristics, health-related characteristics, and fear of falling. A full tandem stance test and Snellen chart were used to assess balance performance and visual acuity, respectively. Descriptive statistics and multivariate logistic regression were used for data analyses. The participants were 67.4% female, 28% experienced one or more fall in the past year, 85.1% reported fear of falling, and 39.4% restricted their activities due to this fear. All had no limitation of basic functional performance. Multivariate analysis indicated that female gender (OR 3.70, 95% CI 1.34- 10.21), fall history (OR 10.16, 95% CI 1.14- 90.37), and anticipation of difficulty from falling (OR 1.32, 95% CI 1.16- 1.50) were independently associated with fear of falling. About one-third of older participants received fall prevention education, 25.7% received home safety education, and only 18.3% received fear of falling education. The findings suggest a high prevalence of fear of falling in Thai older adults even though they are still having high functional performance. However, fall, fear of falling, and home safety education interventions were low delivered to older adults living in the eastern Thai communities. Community nurses should deliver more education regarding fall, fear of falling, and home safety, and health screening by targeting older women who experience falling and anticipate difficulty from falling.

Factors Predicting Family Caregiver Burden in Older Adults with Stroke Patients in Wenzhou, China

Yuanyuan Cai — 2025-09-30

This study aimed to characterize the burden level experienced by family caregiver and to investigate the factors predicting family caregiver burden in older adults with stroke in Wenzhou, China. A simple random sampling method was used to recruit the sample of 101 patient-caregiver dyads in the Second Affiliated Hospital of Wenzhou Medical University. Research instruments included the Demographic questionnaire, the Zarit Burden Interview Scale, the Modified Barthel Index scale, A New Post-Stroke Depression Scale, Chinese version of the Social Support Rating Scale. Descriptive statistics and stepwise multiple regression analysis were used to analyze the data.

The results revealed that the sample had mean score of the family caregiver's burden at a moderate level (M=44.97, SD=18.43). The significant predictors of burden for family caregivers of older adults with stroke were activities of daily living (β= -0.400, P<0.001), social support (β= -0.353, P<0.001), and post-stroke depression (β= 0.188, P=0.039). The caregiver-patient relationship: cousin (β= -0.177, P=0.017) was a significant predictor, as opposed to being a spouse or child. These predictors could together explain 49.7% of the variance in burden for family caregivers of older adults with stroke. (R²= 0.497, p < 0.001)

Activities of daily living, post-stroke depression, social support, and caregiver-patient relationship are the significant predictors of burden for family caregivers of older adults with stroke. The results of this study serve as a reference for healthcare personnel should be developing the intervention based on the activities of daily, strengthening social suport systems, enhancing stroke outcomes, and improving the caregiver-patient relationship, thereby effectively reducing the burden of family caregivers.

A Development of Health Literacy Enhancement Program on Coronary Heart Disease Prevention Behaviors of Cardiovascular risk group in Hua Wiang Community Health Center, Lampang Province

Kannika Kongbunkird — 2025-09-30

This research and development study aimed to: 1) examine health literacy and cardiovascular disease prevention behaviors in the cardiovascular risk group 2) developing the program, and 3) evaluating its effectiveness using a quasi-experimental design with two groups, pre- and post-test, with 35 participants in each group. The intervention tool was the developed program, while data collection tools included (1) questionnaires on general information, health literacy, and cardiovascular disease prevention behavior. The Cronbach’s alpha coefficients were 0.97 and 0.70. Data were analyzed using descriptive statistics, paired t-test, and independent t-test.

Results showed that, in Phase 1, experimental group health literacy was at a high level, while preventive behaviors were at a moderate level. In Phase 2, the program consisting of six skill-development activities was implemented over 12 weeks. In Phase 3, the experimental group had significantly higher post-intervention scores in both health literacy and preventive behaviors compared to pre-intervention and the control group (p < 0.01). The Thai CV Risk Score of the experimental group significantly decreased after the intervention (p < 0.01) and was also lower than that of the control group (p < 0.01). However, there were no significant differences in weight, height, or waist circumference between the two groups after the program (p > .05).

The findings suggest that primary care units should adopt and adapt the developed program for other at-risk populations, as it effectively enhances both health literacy and preventive behaviors related to cardiovascular disease.

The Effectiveness of Health Behavior Modification Using Motivational Techniques Combined With The 7-Color Traffic Ping Pong Tool For The Hypertension Group

Nisakorn Hemchanan — 2025-09-30

This quasi-experimental research with a one-group pretest-posttest design compares high blood pressure levels before and after participating in health behavior modification using motivational techniques combined with the 7-color traffic ping-pong tool. The sample group consists of patients diagnosed with hypertension in the area of Nok Mueang subdistrict, selected through simple random sampling from those who met the specified criteria, totaling 60 participants. The research instruments included personal information, an automatic blood pressure monitor, and the 7-color life traffic ping pong tool, which are standard instruments. Data analysis was conducted using descriptive statistics to compare the differences in blood pressure before and after participating in the program using the paired t-test.

The results revealed that after modifying health behaviors using motivational techniques combined with the 7-color traffic ping pong tool, the sample group exhibited systolic and diastolic blood pressure values post-experiment that were significantly lower than pre-experiment values at a statistical significance level of p < .05.

The findings suggest that healthcare personnel should modify health behaviors using motivational techniques combined with the seven-color traffic ping-pong tool to control and prevent hypertension.

Effect of Line Use - Good Oral Health Program On Oral Health Literacy In Guardian Of Children 1-3 Years Old

Suwatjanee Prukpriwan — 2025-09-30

This quasi-experimental research, a two-group pre-test post-test design aims to investigate the effect of the Line Use – Good Oral Health Program on oral health literacy among guardians of children aged 1-3 years old. Participants consisted of 46 guardians of children aged 1-3 years who brought their children to receive services at the Well-Child Clinic at a Community Health Center in Samut Prakan Province, Thailand. They were divided into the control group (n=23) who received regular dental services and the experimental group (n=23) who received the Line Use – Good Oral Health program for 4 weeks,1 day per week, 10-15 minutes per session. Data collection was done pre-test and post-test using the oral health literacy questionnaire. Data analysis employed frequency, percentage, mean, standard deviation, and independent t-test.

The research findings revealed that after participating in the Line Use - Good Oral Health program, the experimental group had a significantly higher mean score of oral health literacy than before participating in the program (p < .05). After participating in the Line Use - Good Oral Health program, the experimental group had the mean score of oral health literacy that was higher than the control group, with a statistical significance (p < .05).

Factors Related to Pre-Operative Anxiety Among Older Adult Undergoing General Surgery in Jinzhou, China

Yaqian Zhang — 2025-09-30

As a special group of general surgical patients, elderly patients have relatively weak mental ability, and the problem of pre-operative anxiety is more prominent. This correlational descriptive study aimed to identify factors related to pre-operative anxiety among older adult undergoing general surgery in Jinzhou, China. A simple random sampling method was used to recruit the sample of 82 older adults undergoing general surgery in the Third Affiliated Hospital of Jinzhou Medical University in Jinzhou, Liaoning Province, China. Research instruments included questionnaires to gather data for demographic information, State Anxiety Inventory (S-AI), and Social Support Rating Scale (SSRS). Descriptive statistics and point biserial correlation coefficients, Pearson’s product moment correlation coefficients were used to analyze the data.

The results revealed that most of the sample (87.80 %) had moderate pre-operative anxiety (score 41-60). For correlation analysis, pre-operative anxiety was significant negatively correlated with age and social support (r = -0.268, p < .05; r = -0.508, p < .01), and positively correlated with married marital status (r =0.398, p < .01).

The findings suggest that nurses and other health care providers could apply these study results to develop activities/ programs to prevent pre-operative anxiety in older adults undergoing general surgery by focusing on enhancing social support.

Academic Achievement Based on The Learning Styles of Nursing Students

Fontong Chitjumnong — 2025-09-30

This descriptive research aims to study academic achievement and the predictive power of learning styles among nursing students. The sample consisted of 129 nursing students from years 1-4 at Boromarajonani College of Nursing Surin, selected through stratified random sampling. The research instruments were a demographic questionnaire, a learning style questionnaire, and an academic achievement questionnaire. Content validity was assessed (IOC = 1), and reliability was determined using Cronbach's alpha coefficient, which yielded a value of 0.82. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation. The predictive power of learning styles on academic achievement was determined using stepwise multiple regression analysis.

The results revealed that the academic achievement of nursing students is at a moderate level (M=2.99, SD=1.03). Visual-spatial and kinesthetic learning styles significantly impact academic achievement (p < .05), while auditory learning styles significantly impact academic achievement (p < .01). Learning styles can predict academic achievement by 4.1% (R² = 0.41, F = 5.487, p = .05).

The findings suggest that the importance of nursing students' academic achievement should be emphasized, considering relevant learning style factors such as visual, kinesthetic, and auditory, to improve learning effectiveness.

Effect of Developing the Potential of Health Volunteers on Knowledge, Attitude and Capability in Caring for Hypertensive Patients

Dalima Samdaengsarn — 2025-09-30

The study of quasi-experimental one-group pre-test and post-test research design aimed to investigate the effect of developing the potential of health volunteers on knowledge, attitude, and capability in caring for hypertensive patients. The sample consisted of 20 health volunteers from a Subdistrict Health Promotion Hospital in Mueang District, Nakhon Si Thammarat Province, selected by purposive sampling. The study was performed from July 2024 to October 2024. The research instruments consisted of 2 parts:
1) developing the Potential of Health Volunteers, which consisted of two activities. Step 1 involved developing the capacity of Health Volunteers through a workshop designed to enhance their knowledge, understanding, and skills in caring for patients with hypertension. Step 2 comprised the practice phase, during which Health Volunteers conducted home visits to monitor patients’ conditions and provide them with health education and advice on hypertension management. and 2) the data collection instruments, which comprise a general information questionnaire, knowledge assessment, attitude assessment, and capability assessment for caring for hypertensive patients. The questionnaire was examined for content validity by 3 experts, yielding a content validity index (CVI) of 1, The reliability of the KR-20 was .82, and Cronbach's alpha coefficient yielded a value of .86. The data was analyzed using descriptive statistics, and dependent t-tests.

The findings revealed that after participating in the Developing the Potential of Health Volunteers program, their knowledge, attitudes, and capability in caring for hypertension patients increased statistically significantly (p < .01, p < .05, and p < .05, respectively) This indicates that he program has been shown to substantially enhance the knowledge, attitudes, and capability of health volunteers in the care of hypertensive patients. However, it is recommended that further research be conducted to explore the management of chronic conditions in other disease groups to refine and adapt interventions accordingly.

The Effectiveness of Psychosocial Therapy Programs on Depressive Symptoms in Thai Elderly Patients with Major Depressive Disorder : Meta-analysis

Pornprasert Kaewkham — 2025-09-30

This study was a meta-analysis aimed at synthesizing the effectiveness of psychosocial therapy programs on depressive symptoms in the elderly with major depressive disorder in Thailand. Data were retrieved from six databases in Thailand and ASEAN countries, including the Thai-Journal Citation Index (TCI), Thai Thesis Database, ASEAN Citation Index (ACI), the Digital Research Database of the National Research Council of Thailand (Digital NRD), the Mental Health and Psychiatry Research Database, and Chulalongkorn University Intellectual Repository. Systematic review and meta-analytic approaches were applied. Experimental or quasi-experimental studies conducted in Thailand and published between 2014 and 2024, focusing on Thai elderly individuals diagnosed with major depressive disorder, were selected. Studies reporting sufficient statistical data for effect size calculation using SPSS were included.

A total of 1,915 records were retrieved from database searches conducted between December 1, 2024, and March 31, 2025. 12 studies met the eligibility and quality assessment criteria, encompassing a total of 548 Thai elderly diagnosed with major depressive disorder. The overall pooled effect size was -1.20 (95% CI: -1.67, -0.73, p <.001). The meta-analysis indicated that variations in effect sizes across different types of psychosocial therapy programs. Acceptance and Commitment Therapy (-2.99), Recovery Programs (-1.85), Behavioral Activation Therapy (-1.44), Resilience Enhancement (-1.38), Psychoeducation (-0.99), Supportive Psychotherapy (-0.82), and Cognitive Behavioral Therapy (-0.72). These therapies demonstrated varying degrees of effectiveness in reducing depressive symptoms.

From the meta-analysis results, psychosocial therapy programs were found to be effective in reducing depressive symptoms in the elderly with major depressive disorder, with effectiveness varying by type of therapy. Future research should focus on developing and evaluating integrated psychosocial therapy programs using mixed-method designs and conducting long-term follow-ups to enhance their reliability and practical applicability.